Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.29 / $189.29 / $189.29	Facility		$189.29	$189.29	$189.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $237.27 / $503.53	Professional		$189.29	$237.27	$503.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.40 / $929.15 / $1,514.04	Facility		$253.40	$929.15	$1,514.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.72 / $200.39 / $365.44	Professional		$152.72	$200.39	$365.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $260.64 / $361.91	Professional		$139.01	$260.64	$361.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $305.69 / $317.62	Professional		$32.34	$305.69	$317.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.56 / $374.46 / $429.56	Facility		$228.56	$374.46	$429.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.58 / $310.76 / $459.25	Professional		$198.58	$310.76	$459.25
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,327.00	Facility		$230.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.28 / $295.47 / $391.95	Professional		$236.28	$295.47	$391.95